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When I first arrived in Cordoba, I was more than little enthusiastic to see how my experience in Argentina will be shaped by my perspective as a (dare I say) adult and young almost-doctor.

I arrived in Córdoba, the second-largest city in Argentina, renowned for it's beautiful colonial structures and for being a center of higher education since the Jesuits established the first National University here in 1613. As a soon-to-be double graduate of Jesuit universities, I was obviously excited to be immersed in a city built on the same foundation. I was met by, Charly, the coordinator of Intercambio Cultural, the local partner of CFHI who made this trip come together for me. Charly greeted me like an old friend with the one-cheek-kiss hello, a simple reminder of the warmth that makes Latin America feel like a second home.

The warm welcome of the ICC team lasted throughout the entire trip, with lectures and day trips that made for an easy, educational transition and very difficult parting from my life in Argentina!

I just arrived less than a week ago from my CFHI Maternal & Infant Health Program in Pune India and what I have learned and experienced is incredible. I am a MSW (Masters Social Work) graduate interested in maternal and infant health and I have found this program amazingly educational, both professionally and personally. Here is a piece of this adventure:

What did I learn:

I know I will be asked this by everyone. I already have been many times.
So I watched many surgeries. You will ask, what does this have to do with social work? Well, for one thing, all knowledge is useful. Professionally speaking, I will not become a doctor. With this being said, whether I work in a hospital or not, my clients or patients will have surgeries. They’ll see doctors. I’ve had a glimpse into that scene, the decisions doctors make, how they say it, why they do. Doctors to me perform the role of social workers too, so the connection was easily made. If I have a patient that needs a hysterectomy or has undergone thyroid cancer removal surgery, I’ve seen it. I can tell them about it. I’ve seen childbirth and this made me feel wild, in the best of ways. I cried and I knew that my life needs to be centered around this miracle. Personally, I gained something invaluable. I am stronger than I thought. All my life I’ve told myself that I couldn’t see surgery, that I would lose it and embarrass myself. I discovered the contrary, that I found it very interesting and I found myself looking forward to being in scrubs and mask again and again. It isn’t glitter and rainbows. It’s gross but it’s us and I’m ok with this. How often do you change how you view yourself?

I know something about how India’s medical system works, how it’s like and unlike our own systems. This is easier spoken than written about so if you have questions I’ll try to answer.
I know what it’s like to feel alone, unlike everyone else, isolated. Does this compare exactly with a foreigners experience in America? No. Even here I hold my privilege. But I have feelings I’ve never had before, so maybe I can empathize with my clients, wherever they’re from. I’ve learned to observe quietly. I’ve learned to ask questions. I want to treat people the way they want to be treated, and this lesson comes up again and again, whether it’s with greetings, food eating, or lesson teaching. How to be respectful of other cultures while not losing yourself. I’ve learned to be flexible, to embrace not being able to control everything, the value of money. I’ve taken for granted the resources I have. How many times have I thought something was cheap but have it be insanely expensive in rupees? I talk about traveling the world but when I think of the rupee cost for education, plane tickets, living expenses, I realize how lucky I am, and how arrogant I must sound.

I’ve learned much.
India has surprised me. It is much more than I ever expected. It’s both traditional and growing. It’s dusty and bright. It’s overwhelming and comforting.

I’m lucky. I’m so so lucky.

Thank you so much Child Family Health International (CFHI) for giving me a chance to learn all that I have. I'm forever grateful!

I was involved with CFHI through the UC Davis study abroad center's joint Quarter Abroad program in Oaxaca, Mexico. I was at first hesitant to enroll in this program due to financial worries and insecurity thereafter, but I got to thinking: if not now, then when? What better time to travel abroad and meet new peers than now? CFHI's involvement in the program reassured me that we would do minimal harm as foreigners. For a nonprofit, CFHI certainly has made a name for itself and with good reason. The money charged for the program goes directly to the communities they are helping, which means there's minimal power being taken from the people they're helping. My only regrets are that CFHI felt absent for a large part of my stay, and that the University would charge so much for its role in the program, but that's a different issue. Nick Pencko is especially awesome and a great program director. He should undoubtedly receive a raise. ;)
As for the Oaxaca program, I would without hesitation suggest that those interested enroll in this program. It's such a beautiful, historical, and dynamic Mexican state, and one of the safest in Mexico. There are plenty of things to do, see, and learn. I for one discovered, thankfully, that general medicine is not for me. I further discovered a weakness didn't know I had when I became woozy while watching a surgery. More than that, this program put me more in tune with Mexican culture, which is becoming more and more important, especially in the Western U.S. I learned much about the health care system in Mexico in comparison to that of the U.S., and the pros and cons of each. Aside from learning, there is also a rich history and culture in Oaxaca, along with to-die-for culinary masterpieces such as mole. I would recommend CFHI to anyone who wants to immerse themselves in a culture and learn without the risk of upsetting the political or socioeconomic structure of the place they're visiting.

When I first arrived in Cordoba in the middle of the night, I had no idea what to expect. I had seen pictures of Buenos Aires but didn’t know what Cordoba looked like. After finally arriving at my homestay, I quickly fell asleep. Waking up in the morning, I hear “Yasamin! Yasamin!” and a little girl with curly brunette hair runs towards me and crashes into me as she hugs me. In that moment, I knew this was going to be home. I lived with an abuela, but her daughter and grandkids lived down the street so they were always over. We sat down and ate the classic Cordobes breakfast food, criollos, and talked for hours and hours, laughing, and getting to know each other. While I had studied abroad in Spain a few years ago and stayed with a family, this was their first time. The girls were so excited and asking questions left and right about different American movies and t.v. shows while I asked about their local food, tv. shows, cultural festivities etc. They were so welcoming and constantly checking to make sure I felt comfortable. I immediately felt connected to them and felt like they were my own family.

That night we walked along the Cañada river to Patio Olmos, the central shopping center of Cordoba. We had a great dinner and watched a live performance of folk music. The whole room was energized and the people were swaying to the tunes. I looked around and saw people of all age groups. What surprised me the most was the number of elderly people chatting away in the late hours of the night! Compared to the US where you barely see older people out during the night, in Cordoba their out regardless of the hour and full of life. I looked around and immediately felt at home with music in the background and people laughing and smiling all around me. The energy and warmth was contagious and I couldn’t be more excited to spend the next two months in this beautiful city with my beautiful family.

My goals for the time in India were to obtain an understanding of the very complex Indian healthcare system and improve my Hindi skills. Both of these goals I was able to accomplish with my Hindi reaching the level of being able to interview patients towards the end of my time there. I have visited India many times in the past, but usually in the comfort of my grandparents’ large home in the metropolis of New Delhi. This time, I was able to see the country in a new light.

CFHI truly allowed me to truly get a taste of the many different levels of Indian healthcare. I was able to see patients in the city with hypertension all the way to patients in small villages who had been in farming accidents. With my Hindi skills and knowledge of the culture I began to connect with the Indian patient population. I was able to understand their problems and complaints in the greater context of Indian society and values. I was also able to closely see the many issues like pollution and poverty that plague India and became resolved to help in a more meaningful way as I develop the skills to become involved in global health in the future.

Ways to make it better...

If I had to make changes to this organization, I would...

Delineate between undergraduates and medical students so that those with experience can be more involved.

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Would you volunteer for this group again?

Likely

For the time you spent, how much of an impact did you feel your work or activity had?

I had an absolutely amazing experience with CFHI’s HIV/AIDS program in Durban, South Africa. As an incoming 3rd year medical student at the Ohio State University, this was one of my first hand’s on clinical experiences. Our coordinator, Maureen, housed all 6 of us with local Zulu families. All of us had wonderful experiences with these families. They provided us with a place to stay and home cooked traditional Zulu meals. Many of them had children our age that we were able to spend time with. This greatly enhanced our understanding of the Zulu culture and language. Over the following 3.5 weeks I rotated through various departments at King Edward Hospital in Durban, a public secondary hospital. During the first week I was able to participate in Pediatric morning rounds, Intern lectures, and assist in my first Caesarean section. I spent the following week with a team of general surgeons. I was able to observe various endoscopic procedures, observe general clinic days and stay on overnight calls to observe and assist in surgeries. I was able to assist in a leg amputation and observe an appendectomy, gastrectomy, lymph node biopsy, inguinal hernia repair, exploration laparotomy, as well as other smaller procedures. I learned procedural skills for the first time as well as continued to expand my medical knowledge. During the 3rd week I rotated through various departments including Psychiatry, Urology, and Casualty. Although many of the conditions were similar to those seen in the US (burns, asthma, GSW, hydrocele, etc) many cases were complicated by concurrent HIV/AIDS and/or Tuberculosis. Virtually every patient is screened for both of these conditions- something that is rarely done in the US. It was incredible to see how these diseases can manifest in hundreds of different ways-ways that I may never observe in the US. In my final week I worked at the Blue Roof Clinic, a clinic providing free HIV/AIDs care to the community. I was able to shadow a HIV specialist and observed how she incorporated education and wellness into each of her patient's care.

Aside from the clinical experience there was ample time to explore South Africa. On my first weekend, I went on a Safari in St. Lucia and Hluhlwe Game Reserve. Maureen helped coordinate this experience with a local tour guide. On the second weekend, our group stayed in Durban to go horseback riding , experience the local nightlife and attend a township tour organized by CFHI. On my third weekend, I went to Cape Town-which was certainly a highlight of my time here. During the week days, we had most of our afternoons free. We were able to go to the beach on various occasions (Durban weather is warm almost every day of the year), Victoria Market, Durban Botanical Garden, Pavilion Mall, and Florida Road. Overall, the CFHI clinic schedule allowed for a balance of educational clinical experience and social and cultural exploration in South Africa. With no reservations, I would recommend this program to any student interested in pursing a health care related field that has an interest in exploring a new culture and health care system.

Ways to make it better...

If I had to make changes to this organization, I would...

modify the program for students in medical school to provide a more independent experience. There was a lot of observing in clinic and very little opportunity to take histories and do physicals and present to physicians before they see the patient themselves.

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Likely

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CFHI connected myself and a classmate, both fourth year medical students, to a great healthcare organization in Kabale, Uganda called KIHEFO. At KIHEFO we were able to study tropical medicine, learn about the complex social issues affecting healthcare in Uganda, and learn how Ugandans are working to tackle big problems to like access to care, HIV and malnutrition. The clinic is organized in a way that highlights the interwoven nature of maternal and child health, HIV and nutrition in Uganda.

Ways to make it better...

If I had to make changes to this organization, I would...

Make it very clear to participants that the experience in Kabale is working 100% with KIHEFO, and respect the fact that since it is such an integrative organization there is no way that they can have two separate programs.

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Likely

For the time you spent, how much of an impact did you feel your work or activity had?

This past March i participated in CFHI's Amazon Community and Indigenous Health program which brought me to Ecuador for the first time in my life. My experience was one of personal growth, adventure, friendship, and broadening of the mind. Our first week was spent in Quito a large, beautiful but culturally a rather bland city. The intensive spanish courses helped refresh my spanish and prepare me for the challenge of adapting to the the various dialects I would encounter throughout my trip. My time spent shadowing a doctor in the emergency clinic was full of excitement, and I left with a better understanding of the routine of admitting and examining a patient. At the end of the first week we took advantage of the days off in Baños, a cool little adventure/eco-tourism town in the cloud forest of the eastern Andes. We had a large group of students from the program in town together, so we had a blast getting to know each other while enjoying the attractions the town has to offer.
The next three weeks of the program were spent around Puyo, a large town of roughly 70,000 inhabitants on the edge of the Amazon. Based there, we spent our three weeks at clinics in Pitirishca, Mera, and staying with a Shuar family 12 km into the Amazon from Pitirishca. The last week in the Amazon was especially enlightening. A somewhat challenging trip involving a 6 hour hike through the mud to reach the village, this opportunity provided me with an experience that would be difficult to arrange otherwise. Immersed in a whole different world, we experienced a community completely in tune with the environment around them. Gustavo, our Shuar host and guide, lead us through his world and shared his knowledge of natural medicine and his peoples culture. It was an experience I will never forget, and one I will be hard pressed to replicate.

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